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Your Details:
Type of Nuisance:
Firstname:
Surname:
Address:
Postcode:
Telehpone Number:
E-mail:
Person Responsible Details: (if known)
Subject Firstname:
Subject Surname / Trading Name:
Subject Address: (or close as)
Subject Postcode:
Brief Details of complaint (e.g Complaint type, Duration, Frequency etc)
Have you spoken to the person responsible?
Do you have any evidence to substantiate your complaint?
Do you wish to discuss your complaint with an officer?
Do you wish to Proceed with a Formal Complaint?
Any other comments you would like to add: